Case Report: Fracture of the Posterior Medial Tubercle of the Talus Secondary to Direct Trauma

Wolf, Robert S.; Heckman, James D.

doi:10.1177/107110079801900414

Cited by 35 publications

(8 citation statements)

References 5 publications

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“…It is likely that the loss of external support of the talus by the fracture of the lateral process produces a greater separation of the bone fragments in the posteromedial tubercle fracture and increases the likelihood of entrapment of the neurovascular bundle. Other mechanisms related to the production of fractures of the posteromedial tubercle include the impingement of the sustentaculum tali over the posterior process of the talus, which occurs primarily during dorsiflexion with supination [8,22], direct trauma on the posteromedial facet [25], plantarflexion [15] and pure dorsiflexion [10]. According to recent studies, dorsiflexion of the ankle combined with hindfoot eversion [14,16] or inversion [21] is the dominant mechanism by which isolated fractures of the lateral process of the talus are produced.…”

Section: Discussionmentioning

confidence: 99%

Associated lateral process and posteromedial tubercle talus fractures with entrapment of the medial neurovascular bundle: A case report

Robledo

2013

The Foot

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Section: Discussionmentioning

confidence: 99%

Associated lateral process and posteromedial tubercle talus fractures with entrapment of the medial neurovascular bundle: A case report

Robledo

2013

The Foot

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“…The Cedell's fracture was first described as a medial tubercle fracture due to talotibial ligament avulsion. The mechanism of injury may result from a posteromedial facet impaction 17 . Access and reduction of displaced or comminuted fracture fragments is a challenging procedure for surgeons due to the rarity of fractures of entire posterior process.…”

Section: Discussionmentioning

confidence: 99%

Initial assessment of treatment of talar posterior process fractures with open reduction and percutaneous fixation

Mao

Wang

Zhao

et al. 2020

Sci Rep

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The purpose of this study was to provide an initial assessment of treatment for talar posterior process fractures using open reduction and internal fixation (ORIF) through posteromedial approach and percutaneous screw fixation. From January 2014 to December 2018, 12 cases with displaced fracture of talar posterior process were treated in our department. The clinical and radiological results were assessed after 4 and 12 months of operation with Visual Analog Scale (VAS) pain and American Orthopedic Foot and Ankle Society (AOFAS) scores. ORIF was performed in four of the cases and percutaneous screw fixation was performed in eight of the cases. The average follow-up period was 13 months. Complications such as wound infection, nerve injury, screw loosening, malunion or nonunion of fracture were absent. For clinical assessment, considerable mprovements were observed for the AOFAS and VAS scores at 4 and 12 months postoperatively for both techniques. There was no significant difference for AOFAS scores and VAS scores between the two techniques (p > 0.05). Both techniques showed good functional outcome and were performed for posterior talar process fracture following the fracture displacement guidelines. Percutaneous screw fixation treatment with computer-assisted three-dimensional evaluation shortened the operation time and reduced incidences of surgical complications.

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“…In total 35 cases of posterior talus fractures have been reported. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 In a detailed review of these reports, it appears 17 are medial tubercle fractures with no articular involvement, six are posterior process fractures involving the subtalar articulation while 12 are true fractures of the posteromedial talar body entering both the ankle and subtalar articulations. 22/35 fractures were missed on initial evaluation.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Posteromedial Talus Fractures: Technique Description and Results of 10 Cases

Swords

Shank²,

Benirschke

2018

IJOO

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Background:The aim of this study is to describe a surgical technique for successful treatment of posteromedial talar body fractures and establish treatment recommendations for fractures of the posterior aspect of the talus.Materials and Methods:Ten patients treated operatively for a posteromedial talar body fractures entering both the subtalar and ankle articulations with a minimum of 1-year followup were identified from a trauma database. Age, mechanism of injury, associated injuries, time to surgery, complications, the range of motion, secondary procedures, and need for arthrodesis were evaluated.Results:Followup averaged 4.8 years (1–10). Eight of ten patients had high-energy mechanisms of injury. Six patients had associated medial subtalar dislocations with two open. Associated injuries were common. No surgical complications occurred. The range of motion was present but decreased. No arthrodesis procedures were performed.Conclusions:Operative fixation of posteromedial talus fractures with the described surgical technique resulted in acceptable outcomes in this series of patients with improved outcomes when compared to prior reports in the literature.

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Case Report: Fracture of the Posterior Medial Tubercle of the Talus Secondary to Direct Trauma

Cited by 35 publications

References 5 publications

Associated lateral process and posteromedial tubercle talus fractures with entrapment of the medial neurovascular bundle: A case report

Associated lateral process and posteromedial tubercle talus fractures with entrapment of the medial neurovascular bundle: A case report

Initial assessment of treatment of talar posterior process fractures with open reduction and percutaneous fixation

Surgical Treatment of Posteromedial Talus Fractures: Technique Description and Results of 10 Cases

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